Anxiety Sensitivity is Associated with Frequency of Sleep Medication Use Above and Beyond Self-Reported Sleep Quality

Babson, Kimberly A.; Badour, Christal L.; Feldner, Matthew T.; Bown, Stephanie

doi:10.1007/s10608-011-9399-2

Cited by 5 publications

(3 citation statements)

References 28 publications

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“…Asmundson and Norton () found greater use of analgesic medications among patients with chronic back pain who had high AS, although in a study on patients with chronic headaches, they did not find a significant association between AS and analgesic use (Asmundson, Norton, & Veloso, ). AS is also associated with greater sleep medication use even when controlling for sleep quality, demonstrating that greater sleep disturbance alone does not fully account for increased frequency of sleep medication use (Babson, Badour, Feldner, & Bown, ). Similarly to the questionable appropriateness of ED visits by high AS individuals, it is difficult to determine whether their medication use is appropriate, although the fact that it does not seem to be accounted for by greater medical symptoms suggests that it may not be.…”

Section: Engagement In Maladaptive Health Behaviorsmentioning

confidence: 99%

How does anxiety sensitivity increase risk of chronic medical conditions?

Horenstein

Potter

Heimberg

2018

Clin Psychol Sci Pract

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Anxiety sensitivity (AS; fear of anxiety‐related symptoms) is an established transdiagnostic risk factor for psychiatric disorders and is related to a variety of chronic medical conditions. However, AS has not been established as a risk factor for chronic medical conditions. In this study, we review studies on AS and chronic medical conditions (and symptoms/behaviors related to chronic medical conditions) and propose four pathways through which AS may increase risk of chronic medical conditions: (a) increasing fear of medical condition‐specific symptoms, (b) perpetuating avoidance of healthy activities, (c) promoting engagement in unhealthy behaviors, and (d) increasing risk of detrimental pathophysiological and pathomechanical alterations. We also discuss the potential utility of using AS reduction interventions as a means of reducing risk of chronic medical conditions.

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Section: Engagement In Maladaptive Health Behaviorsmentioning

confidence: 99%

How does anxiety sensitivity increase risk of chronic medical conditions?

Horenstein

Potter

Heimberg

2018

Clin Psychol Sci Pract

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“…The subjective sleep quality component score has been shown to be a robust predictor of outcomes across samples. 45,46 Memory functioning. Memory functioning was assessed using the Everyday Memory Questionnaire [EMQ 47,48 ].…”

Section: Participantsmentioning

confidence: 99%

HIV Medication Adherence and HIV Symptom Severity: The Roles of Sleep Quality and Memory

Babson

Heinz

Bonn‐Miller

2013

AIDS Patient Care and STDs

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The purpose of the current study was to examine the extent to which self-reported sleep quality, a clinically malleable factor, is associated with both HIV medication adherence and self-reported HIV symptom severity. In addition, we sought to examine whether sleep quality may explain the association between HIV medication adherence and symptom severity, as well as the role of self-reported memory functioning in terms of the above relations. This study took place from April 2010 to March 2012. Participants were 129 HIV-positive individuals who completed an ART pill count and series of structured clinical interviews and self-report questionnaires on sleep, memory, and HIV symptom severity. A series of regressions were conducted to test study hypotheses. After accounting for covariates (i.e., problematic alcohol, nicotine, and cannabis use, and mood disorder diagnosis), results indicated that self-reported sleep quality was associated with HIV medication adherence and selfreported HIV symptom severity, and that sleep quality partially mediated the relation between medication adherence and self-reported HIV symptom severity. In addition, memory functioning moderated the relation between self-reported sleep quality and HIV symptom severity, such that the interaction of poor sleep quality and relatively good memory functioning was associated with heightened self-reported HIV symptom severity. This study highlights the importance of assessing sleep and memory among HIV-infected individuals as they may represent treatment targets for those experiencing poor medication adherence or particularly severe HIV symptoms. Such information could lead to the inclusion of adjunct brief interventions to target sleep and memory functioning in order to reduce symptom severity among HIV-positive individuals with poor medication adherence.

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“…Asmundson and Norton (1995) found greater use of analgesic medications among patients with chronic back pain who had high AS, although in a study on patients with chronic headaches, they did not find a significant association between AS and analgesic use (Asmundson, Norton, & Veloso, 1999). AS is also associated with greater sleep medication use even when controlling for sleep quality, demonstrating that greater sleep disturbance alone does not fully account for increased frequency of sleep medication use (Babson, Badour, Feldner, & Bown, 2012). Similarly to the questionable appropriateness of ED visits by high AS individuals, it is difficult to determine whether their medication use is appropriate, although the fact that it does not seem to be accounted for by greater medical symptoms suggests that it may not be.…”

Section: Engagement In Maladaptive Health Behaviorsmentioning

confidence: 99%

How does anxiety sensitivity increase risk of chronic medical conditions?

Horenstein¹,

Potter²,

Heimberg³

2018

Clinical Psychology: Science and Practice

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Anxiety sensitivity (AS; fear of anxiety-related symptoms) is an established transdiagnostic risk factor for psychiatric disorders and is related to a variety of chronic medical conditions. However, AS has not been established as a risk factor for chronic medical conditions. In this study, we review studies on AS and chronic medical conditions (and symptoms/behaviors related to chronic medical conditions) and propose four pathways through which AS may increase risk of chronic medical conditions: (a) increasing fear of medical condition-specific symptoms, (b) perpetuating avoidance of healthy activities, (c) promoting engagement in unhealthy behaviors, and (d) increasing risk of detrimental pathophysiological and pathomechanical alterations. We also discuss the potential utility of using AS reduction interventions as a means of reducing risk of chronic medical conditions.

show abstract

Anxiety Sensitivity is Associated with Frequency of Sleep Medication Use Above and Beyond Self-Reported Sleep Quality

Cited by 5 publications

References 28 publications

How does anxiety sensitivity increase risk of chronic medical conditions?

How does anxiety sensitivity increase risk of chronic medical conditions?

HIV Medication Adherence and HIV Symptom Severity: The Roles of Sleep Quality and Memory

How does anxiety sensitivity increase risk of chronic medical conditions?

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